215-362-9236
autopros@jsauto.net
Employment Application
Please complete this form in full. All sections must be completed for your application to be considered.

J’s Auto Service is an Equal Opportunity employer and complies with all applicable Federal, State and local laws concerning discrimination in employment. No question in this Application is intended to elicit information in violation of any such law, nor will any information obtained in response to any question be used in violation of any such law.

Middle Name
Last Name
Home Address
City
State
Zip

Position Applying for
Expected Starting Salary

Have you ever been employed at J's Auto Service?
If yes, when did you work?
Are you related to anyone at J's Auto Service?
If yes, who?
Have you previously applied for employment with J's Auto Service?
If yes, when?
How did you learn about this position?
Other:

Are you a U.S. citizen or otherwise currently authorized to work in the U.S. for any employer?
Have you ever been convicted of a crime, including felonies, misdemeanors and summary offenses (but excluding convictions that have been annulled, expunged or sealed by a court)?
If yes*, please explain.
*A CONVICTION RECORD WILL NOT NECESSARILY BE A BAR TO EMPLOYMENT. Felony and misdemeanor convictions will be considered only to the extent they relate to your suitability for the job for which you have applied. However, failure to disclose a conviction and or mischaracterization of a conviction automatically will result in your ineligibility for employment and/or termination of employment (even if the conviction would not have barred your employment had it been properly disclosed).
Please detail any experience, skills or achievements that you feel may be relevant in your application for employment.

Employment Experience
List the last 10years of employment, beginning with your present or most recent job.
*Current or most recent employer:
Employer address:
Employer phone number:
Supervisor Name & Title:
May we contact for a reference?
Dates Employed:
Hourly Rate/Salary:
Describe your responsibilities:
Reason for leaving:
* J's Auto Service will not contact your current employer without your permission.

Employer:
Employer address:
Employer phone number:
Supervisor Name & Title:
May we contact for a reference?
Dates Employed:
Hourly Rate/Salary:
Describe your responsibilities:
Reason for leaving:

Employer:
Employer address:
Employer phone number:
Supervisor Name & Title:
May we contact for a reference?
Dates Employed:
Hourly Rate/Salary:
Describe your responsibilities:
Reason for leaving:

Employer:
Employer address:
Employer phone number:
Supervisor Name & Title:
May we contact for a reference?
Dates Employed:
Hourly Rate/Salary:
Describe your responsibilities:
Reason for leaving:

Other Skills
List other abilities, specialskills, certificates, licenses applicable to the position for which you are applying.

Education
School
Name & Location (City, State)
Course of Study
Years Completed
Degree/Diploma or GED
High School or GED
Trade School
College

Professional References
Supervisors, Co-workers, Subordinates, Instructors preferred
Name
Occupation
Phone
Relationship
Years Known

Applicant Statement
I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service, whenever it is discovered.

If I complete an Application for Employment, I understand that I may be required to take certain work-related tests (including drug testing) not prohibited by law, and that an offer of employment and/or employment may be contingent on the results of the tests.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. I represent that I am not currently employed in any capacity by any other employer and that if I complete an Application for Employment and am offered employment, I understand that if I accept the offer of employment, I cannot work for any other employer while employed by J’s Auto Service.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice. This application does not constitute an agreement or contract for employment for any specified period or definite duration.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard. (within the first three (3) days of my employment.)

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.
Signature:
Date:
Thank you! Your submission has been received!
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